January 2015 Newsletter

Are remote audits for physician practice acquisitions right for your organization?


Physician practice acquisitions are part of many health systems strategic plans for 2015.  If your organization is targeting smaller practices and a third party onsite audit is not cost effective what is one to do?

During the due diligence process, hospitals will have personnel onsite at a physician practice looking at multiple areas of the business gathering information to determine a fair offer to submit to the physician.  i.e. revenues, charts, real estate, tangible assets etc.

Maximizing a site visit with today’s mobile technology can assist when gathering information on tangible assets, minimizing stress on practice employees and patients.

It can be very difficult to capture all demographics associated with tangible assets or provide enough information to a third party firm to properly appraise. If you’re relying on an asset ledger provided by the physician office it may not provide a clear picture of assets located in the property.


Following are benefits of working with a third party appraisal firm to conduct remote audits:

  • Cost effective way to target smaller practices (1-5 exam rooms)
  • Remote audits are cost comparative to a desktop appraisal
  • Only onsite tool needed to conduct a remote audit is a smartphone (blue tooth optional)
  • Auditing firms create the report remotely as you call out information from the practice. This eliminates hand writing information and transferring to a spreadsheet for the auditing firm to appraise.
  • Auditing firms can guide you where to look for information i.e. manufacturer, model, serial number etc.
  • Auditing firms that specialize in medical equipment know
  • Remote audits provide flexibility to conduct onsite work after hours or at the convenience of the physician minimizing disruption
  • Smartphones allow you to send pictures when needed
  • Third party travel expenses are eliminated
  • Turn time on deliverables is increased significantly

As you target physician practice acquisitions considered the benefits of partnering with an auditing firm to conduct a remote audit to appraise tangible assets.  Acquisitions can be very complex and time consuming.  Remote audits can provide a cost effective option to support work associated with the due diligence process.

 MRG Projects:

MRG recently completed inventory and appraisal projects for a Spine Group, Skin Therapy Clinic and Sleep Center in Ohio.

MRG Appraisal of the Month:


Philips BV Pulsera C-Arm, FMV: $16,000.00

MRG Hospital Fun Facts: 

In 2012, a Texas Hospital billed a woman $4800 after she was in an accident. Once the hospital found out that she received an insurance settlement, they sent her a new bill for $20,000+ and filed a lien against her property to get it



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Healthcare Consolidation Continues

beaumontHealthcare consolidation was very active in 2014 and I expect 2015 will bring more activity as health systems look at long term strategies for growth and operating under the new rules applied by the Affordable Care Act.    The question at hand is will mega system be the wave of the future and how will that impact costs for the consumer when these mega system monopolize market-share?

Integration of cultures from different hospitals will also challenge these larger mergers as they look to compete.

The latest merger to impact the Michigan market was the formation of Beaumont Health which includes the integration for the following systems:  Beaumont, Oakwood and Botsford.


5 Issues That Will Shape 2015 for Family Physicians


With the New Year in full swing mergers and consolidations are still very active and will continue at a high rate for 2015.  With consolidation in the marketplace challenges may present themselves in some of the following areas:

  • Practice consolidation will affect clinical autonomy and create bureaucracies
  • Physician – Patient relations could become strained
  • Administrative headaches with ICD-10 coding requirements
  • Cost transparency for patients
  • Growth spike with newly insured patients and decline in physician numbers